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C GREGORY BOWLING MD A PROFESSIONAL MEDICAL CORPORATION NPI 1104963107


NPI Information

NPI: 1104963107
Provider Name: C GREGORY BOWLING MD A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: MEDICAL LABORATORY OF SW LA

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1910 OAK PARK BLVD
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 478-1214
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C GREGORY BOWLING MD A PROFESSIONAL MEDICAL CORPORATION is an anatomic pathology and clinical pathology pathology in Lake Charles, LA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. C GREGORY BOWLING MD A PROFESSIONAL MEDICAL CORPORATION NPI is 1104963107. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medical Laboratory Of Sw La.

The provider's business location address is:

1910 OAK PARK BLVD
LAKE CHARLES, LA
ZIP 70601-916
Phone: (337) 478-1214
Fax: (337) 478-2544

The provider's authorized official is C. Gregory Bowling .
The authorized official title is President and has the following contact phone number (337) 478-1214.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 9/3/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11946150MEDICAIDLOUISIANA
25F682MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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